NPI | 1831509116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: LA 306318) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX S1951) |
208000000X Pediatrics (Licence: MI 4301105012) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105012) | |
Enumeration Date | 2014-05-07 |
Last Update Date | 2020-01-24 |